Interviews : Marie-Cécile Ploy: Dealing with Resistant Bacteria
Marie-Cécile Ploy: Dealing with Resistant Bacteria
Just over a year ago, the World Health Organization (WHO) published its first report on resistance to antimicrobials, which include antibiotics. It considered it a serious threat that could strike anyone, anywhere in the world. A danger that French research – particularly Inserm – has been studying for several years, and of which researcher Marie-Cécile Ploy is one of the spearheads.

How is antibiotic resistance a critical global issue?
Marie-Cécile Ploy: Antibiotic resistance is a real problem – and one to be tackled with the One health approach, because it affects humans, animals and the environment. Bacteria have no geographical frontiers and few species boundaries. There is a strong societal dimension, particularly linked to climate change and conflicts, which lead to population movements and injuries involving multi-resistant bacteria. This global aspect is important. We can all be affected by antimicrobial resistance, often without realizing it. This is a difficult subject for the general public to understand and can be made more concrete by accounts from patients or families. This approach, which is fairly recent and recognized by the WHO, is currently being considered at French level within networks such as Promise – co-led by Inserm as part of the Antibiotic Resistance priority research program.
Regarding the issues at stake, awareness has increased significantly in recent years. At the global level, we now recognize the need to work together, by ceasing to compartmentalize human, animal and environmental health. However, this dialogue is complex and takes time. The challenges persist: the increase in population and poverty (the poorest being the most affected) as well as globalization (travel, increased production, etc.) contribute to the circulation of bacteria. Effective communication between all areas of expertise is needed to try to overcome the problem.
What avenues are being explored to combat antibiotic resistance?
M.-C. P.: In terms of prevention, basic hygiene rules are crucial – handwashing and the use of hydroalcoholic solutions – especially in hospitals. Vaccination also has a role to play. For example, vaccination against pneumococcal disease has pushed back resistance of this type of bacteria to antibiotics, which are less frequently administered. Similarly, influenza vaccination limits severe forms and therefore the risk of bacterial superinfection, which would otherwise be treated with antibiotics likely to create resistant strains.
Finally, in terms of prevention, improved access to drinking water and sanitation is fundamental at the global level. A United Nations report found that 56% of the world’s wastewater is untreated, promoting bacterial proliferation.
And what about treatment?
M.-C. P.: From this viewpoint, the search for new antibiotics is a major focus. In France, the AntibioDeal network, integrated into the Promise network, aims to structure this research. This is a long and difficult journey. A major obstacle is the unsuitable economic model for new molecules: their low return on investment – their prescription must remain limited to preserve their efficacy – does not encourage their development. Other innovative avenues are being explored, such as phage therapy – viruses that are harmless to humans but lethal to bacteria – or monoclonal antibodies.
What is your specific role in this combat?
M.-C. P.: I am a clinical microbiologist and head of the Resinfit unit in Limoges. I have been working on antibiotic resistance since my thesis, whose viva I did over 30 years ago. My personal research areas are more fundamental. I focus on gene transmission between bacteria and ecosystems (human/environment). I study how bacteria acquire resistance genes and the role of the environment in the spread of antibiotic resistance. I am coordinating a joint European action for Inserm that brings together 30 countries, called EU-Jamrai 2. This initiative aims to combat antibiotic resistance more effectively by helping countries implement their public health action plans against this scourge. Finally, I co-lead the Promise network for Inserm. The goal is to set up more ambitious research projects by joining forces.
Copyright belongs to, article taken from : https://www.inserm.fr/en/news/marie-cecile-ploy-dealing-with-resistant-bacteria/
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